Jaw disorders

Jaw disorders

Bruxism

Commonly referred to as “teeth grinding,” bruxism is the grinding or gritting of teeth caused by involuntary contractions of the jaw. Although it mostly occurs at night, bruxism can also happen during the day and be a recurring problem throughout your life.

What are the consequences of grinding your teeth?

Worn down or cracked teeth

Headaches

Tooth and face pain

Jaw and temporomandibular joint pain upon waking

Loosened gums

What causes bruxism?

As of yet, there is still no international consensus on the subject. But we are getting pretty clear understanding of the various causes of bruxism. For many people, an occlusal imbalance is the main precursor while stress makes it worse. Relaxation exercises and using a bite plate or even occlusal equilibration can minimize the damage bruxism can have on your teeth.

Temporomandibular joints (TMJs)

If you’re feeling discomfort or pain in the joints located on either side of your face, in front of your ears, you may have a temporomandibular joint disorder (TMD). Although the causes vary, bruxism, an injury or a joint-related illness may be at the root of the TMD.

What are the main symptoms of a TMD?

Difficulty opening and closing the mouth

Cracking, clicking or grinding of the jaw

Difficulty chewing

Stiffness in face muscles

Headaches or neck pain

Often is asymptomatic

Shooting pain in front of the ears

A dental check-up can confirm whether or not you’re suffering from a temporomandibular joint disorder. We’ll assess your best treatment options and discuss how you can prevent and minimize TMD symptoms.

Bite plates and occlusal equilibration

Custom-made bite plates are made of acrylic and are worn over the top OR bottom teeth. Mainly recommended for patients suffering from bruxism, the device acts as a cushion. By absorbing the pressure exerted by the teeth, the bite plate helps minimize damage caused by grinding or gritting. Bite plates can also help relax and soothe jaw muscles and TMJs.

The occlusal equilibration is a simple and conservative treatment that can be used alone or with other treatments (orthodontics, restorations, crowns and veneer, orthognathic surgery, etc.). It can help you control your TMD and TMJ pain on a 24 h basis.

Crowns

Crowns

The visible part of a tooth is called the crown. If it gets damaged, it’s important to protect the healthy portion of the tooth with a prosthetic crown.

What does a crown look like?

A crown is an artificial hollow tooth. Made of ceramic, composite resin and sometimes even gold, crowns are custom-made using dental impressions. The dentist will install the crown so that it completely covers the surface of the damaged tooth and blends in with the natural teeth.

When are crowns needed?

After a root canal

Deep cavity

Broken or badly damaged tooth

Deformed, discolored or misaligned tooth

How is a crown installed?

During the first appointment, the affected tooth is trimmed so that it is ready for the crown. A detailed impression is made of the affected tooth and the surrounding teeth. Then, using local anesthetic, a temporary crown is installed.

The permanent crown is affixed using dental cement during the second appointment. After adjusting it and checking its shape and color, your tooth will regain its original appearance.

How long a crown lasts varies by patient. Poor oral hygiene or bad habits, like nail chewing, can damage the crown.

Dental sealants

Dental sealants

Dental sealants are used to prevent the formation of cavities on permanent molars and bicuspids. It is a preventive treatment that consists of applying a thin layer of sealant on the chewing surface of these teeth.

How is the sealant applied?

Applying sealant is comparable to placing a white filling. The main difference is that there’s no need for anaesthesia, since no drilling is required.

The tooth is cleaned and, if needed, cavities are eliminated

The surface of the tooth is prepped

The liquid sealant is applied

A blue light is used to harden the sealant

Why is sealant applied to molars and bicuspids?

The natural grooves on the surface of these large teeth are difficult to properly clean, since a toothbrush’s bristles can’t reach deep enough. Food particles and plaque accumulate there, making it easier for cavities to form.

Is this procedure for everyone?

Patients under the age of 15 are at higher risk of developing cavities. Patients aged 6 to 15 are more prone to have dental sealant applied to their molars and bicuspids. A baby tooth whose grooves are very deep could also benefit from this. For adults, dental sealant helps protect the enamel of their teeth.

Digital x-rays

Digital x-rays

Digital x-rays are an essential diagnostic tool, enabling the dentist to see teeth, bones and gums. By revealing hidden problems, like an interdental cavity, x-rays help dentists propose the best treatment plans. Digital x-rays are safe, comfortable and an important tool.

What are digital x-rays?

Digital x-rays use electronic captors instead of x-ray film. The images are saved automatically to the computer so that they can be accessed right away.

The many benefits of this medical imagery technique:

Immediate access to the images

Ability to adjust the image and contrast (resolution adjustment)

Easier retakes

90% reduction of radiation exposure as compared to traditional methods

Reduced ecological footprint (no film to develop or chemical products)

What can digital x-rays reveal?

Interdental cavities

Positioning problems with teeth and roots

Bone loss

Abscess or cyst

Developmental issues

There are many types of x-rays, each one with its own features to help dentists make precise diagnoses. The most used x-rays are bite-wing x-rays, taken during check-ups, and panoramic x-rays (Panorex).

Implant-supported prostheses

Implant-supported prostheses

An implant-supported prosthesis can be partial or full. As its name states, this type of prosthesis requires dental implants. First, the jawbone mass is assessed to ensure that it can receive the implants. Otherwise, a bone graft may be needed.

Are there any contraindications relating to implants?

Good overall health and sufficientjawbone mass are required for implants. Certain illnesses or bone structures may prevent a patient from undergoing this procedure, in which case an alternative treatment would be proposed.

What are the different types of implant-supported prostheses?

Partial prostheses include:

Crowns, which are used to replace one teeth between two healthy teeth

Bridges, which replace several teeth

Full dentures replace all the teeth on one or both dental arches.

What are the benefits of this type of prosthesis?

Esthetic, natural look

Bone loss is curtailed (preservation of bone density)

Facial structures are maintained

Maximized comfort

Improved speech and chewing

Just like with natural teeth, regular check-ups and good oral care will help keep your prostheses in good shape.

Implant-supported removable prostheses

Implant-supported removable prostheses

A removable dental prosthesis is used to replace natural teeth. It can replace a few teeth (partial denture) or all teeth (full denture). Implants reinforce the stability of the prosthesis, giving you more confidence.

What does this procedure involve?

First, implants are installed (two or more); it will take a few months for them to fuse with the jawbone

Once the pillars have been installed on the implants, a dental impression is made

The prosthesis is made in the lab

Once ready, it is adjusted and installed

Afterward, follow-up appointments are needed

How is this type of prosthesis removable?

The prosthesis has an anchoring system for easy removal. The selected method depends on several functional factors, such as the position of the implants.

One option is to use rounded pillars, where the artificial teeth can be snapped on to the implants. Another option is a bar-retained prosthesis, where a bar is permanently installed between the implants so that the prosthesis can be easily attached and removed.

No matter which system is chosen, your prosthesis will remain solidly in place, giving you a natural-looking smile.

Mouthguards

Mouthguards

A good mouthguard should be adapted to your mouth. Only a custom-made mouthguard can provide you with the highest level of protection.

How is a custom-made mouthguard better than a commercial mouthguard?

Custom-made mouthguards are made in the lab using a precise impression of your teeth. Depending on the sport you practice, the mouthguard can be reinforced in certain strategic spots. To best protect your mouth, a custom-made mouthguard is highly recommended. One of the main benefits is that it can be worn in conjunction with an orthodontic device.

Mouthguards protect:

Teeth

Lips

Tongue

Inside cheeks

Jaw

Mouthguards soften blows that could otherwise lead to serious injury, like a broken jaw. They can also help reduce the severity of head injuries, like concussions.

Don’t all mouthguards have the same features?

Commercial mouthguards, including those that take on the shape of your mouth, don’t meet optimal protection criteria. Although the second type is a better option, both of these models have their weak points that could lead to serious consequences.

Permanent bridge

Permanent bridge

There are several options for replacing one or several missing teeth. A permanent bridge is one of the most common.

What is a permanent bridge?

A permanent bridge consists of an artificial tooth placed between two crowns. The tooth fills the empty space and the crowns are attached to adjacent teeth (also called pillars). Since the bridge is secured using dental cement, it is considered a permanent prosthesis and cannot be removed. The material and fabrication method are chosen based on your needs. The end result will be natural, beautiful-looking teeth.

How is a permanent bridge installed?

Adjoining teeth are prepped to receive crowns

A dental impression is made and sent to the lab, where the prosthesis is made

The replacement tooth and two crowns are custom-made in the lab, as one single piece

The bridge is secured using dental cement

Installing a permanent bridge requires two or three appointments. Afterward, regular check-ups and good oral hygiene are needed to ensure the durability of your prosthesis.

Periodontics

Periodontics

The field of periodontics is concerned by infections and other dysfunctions of the periodontium, which is comprised of the gum, alveolar bone, ligament and cementum. Together, these structures keep teeth in place. Periodontal disease occurs when these tissues become infected by bacteria. These types of infection need to be treated rapidly to avoid further complications and more complex treatments.

What is periodontal disease?

Because it involves swelling of the gums, this type of infection is also known as gum disease. When plaque and tartar build up, the bone eventually becomes affected as well.

Gum disease progresses slowly, is generally painless and almost asymptomatic. The most common forms of gum disease are gingivitis and periodontitis.

Various factors contribute to periodontal disease:

Poor oral health

Pregnancy or illness (diabetes, leukemia)

Heredity

Smoking

Some medication

Can gum disease be treated?

First and foremost, periodontics focuses on prevention. During your regular check-up, the dentist will assess if you’re at risk of developing gum disease. If this is the case, a periodontal exam will be recommended.

If you do have gum disease and it’s detected early on, it can be treated. In more serious cases, periodontics can stop the disease from progressing and re-establish your oral health.

A rigorous approach to dental hygiene, healthy eating habits and regular dental check-ups are the best ways to prevent gum disease.

Dental implants

Dental implants

Dental implants are artificial roots made of titanium. They are inserted wherever teeth are missing, to support replacement teeth. Minor surgery, spread out over several steps, is required to install them.

How are dental implants installed?

Thorough examination and x-rays of the mouth

The implant is inserted in the jawbone, under the gums

Healing period while the implant fuses with the bone

Replacement teeth are installed (crowns, full dentures)

Follow-up appointments

Are implants for everyone?

Some requirements must be met before having implants installed. You must be in excellent overall health, your gums must be healthy and your jawbone must be thick enough to hold the implant.

Will I be able to brush my teeth normally?

Since the implant fuses to the bone, it can practically be treated just like a natural tooth. A toothbrush with longer bristles at the tip will help you reach the back of the implant. We recommend using dental floss at least once a day. The union between the implant and the gum must always be treated with care.

Gum grafts

Gum grafts

When gums thin out, they can come loose, exposing roots and leading to many other problems. Called gingival recession, this problem can only be treated with a graft.

What is a gum graft?

A gum graft is a surgical procedure to repair and replenish areas where gums have weakened. The procedure aims to protect teeth and prevent further loosening.

A gum graft is done at the clinic under local anaesthetic:

The graft is taken from the patient’s palate

The tissue is grafted onto the area to be treated

A protective material is applied to the treated area

Healing time is 6 to 8 weeks

In some cases, it may be possible to use an inert membrane from a donor. This technique is called AlloDerm and it has the benefit of not needing a graft from the patient.

Benefits of a gum graft

No more pain caused by exposed roots

Prevention of root cavities

Improvement of periodontal health (prevention of gum disease)

Better-looking smile (teeth length and symmetry)

Do grafts need to be redone later?

For most patients who maintain good oral health, the benefits of a gum graft can last a lifetime. Gentle brushing using a soft-bristled brush will help you keep your new smile longer.

Veneers

Veneers

A veneer is a thin shell made of porcelain or composite resin. It is secured to the visible side of one or several teeth. This cosmetic restoration can significantly improve your smile.

What defects can veneers correct?

Discoloured or yellowed teeth

Deformed teeth

Angle or spacing between teeth

Cracked, chipped or broken teeth

Porcelain or composite – what’s the difference?

The difference between these two materials resides primarily in the manufacturing and installation of the veneer. While both materials have their own benefits, we will assess which one best suits your needs. Both have a natural finish and are durable and stain-resistant.

Porcelain veneers require two appointments

For this type of restoration, during the first appointment, a dental impression is made and a temporary veneer is installed while the permanent veneer is produced. Once the permanent veneer is ready, it is secured to the visible surface of the tooth during the second appointment.

Composite veneers are made in the clinic

Composite veneers are affixed to teeth using an adhesive resin. Then, a polymerizing lamp hardens the composite. Veneers are then adjusted and polished so that they perfectly match the natural teeth.

Endodontics

Endodontics

Endodontics is a discipline that focuses on the soft tissue within teeth. Called the dental pulp, this tissue contains the tooth’s nerves and blood vessels. When it gets damaged or infected, it needs to be removed. This intervention is called a root canal or endodontic treatment.

How does dental pulp become infected?

Dental pulp is protected by the tooth’s hard shell. Sometimes, a defective restoration, injury, broken tooth or deep cavity exposes the pulp. Bacteria can then attack and contaminate the nerves. An x-ray can confirm an infection and the presence of an abscess.

Symptoms of a possible root canal infection:

Sharp, throbbing pain

Sensitivity to heat or cold

Swelling

Blackened tooth (if the tooth suffered an injury)

What are the steps of a root canal?

Using local anesthesia, the dentist makes a small incision in the tooth to remove the pulp

After removing the damaged tissue, the cavity is cleaned and disinfected

The canal is filled and sealed using dental cement

The tooth is then sealed with a filling or a crown

Endodontic treatments are usually painless and can save a tooth that would otherwise have been extracted.

Primary teeth

Primary teeth

There are 20 primary teeth. The first teeth appear around six months, with the final teeth erupting by age three.

How do I know if my baby’s teeth are coming in?

Here are the signs:

Needing to chew, excessive drooling

Irritability

Red cheeks

Trouble sleeping

Loss of appetite

Swollen, painful gums

Small blue bubble on the gum indicating the presence of a tooth

Fever is not a symptom of teething. If your child is feverish, see your pediatrician.

How can I relieve my baby’s discomfort?

Primary teeth erupt in phases. Incisors (the middle front teeth) often come in first, followed by molars and canines.

How to relieve teething pain:

Rub your finger over your baby’s gums

Let your baby chew on a clean, damp washcloth

Offer your baby a cool (not frozen) textured rubber ring

The enamel on primary teeth is thin and more prone to early-childhood cavities. To prevent them from forming, proper oral healthcare is important as soon as your baby’s first tooth appears, or earlier.

Come see us today with your little ones. We can give you tips on how to care for your child’s teeth and answer any questions you may have.

Permanent teeth

Permanent teeth

Permanent teeth begin to appear around the age of six and grow for a few years. There are 32 permanent teeth (including wisdom teeth) and they’re usually a bit more yellow than primary teeth.

How do I know if my child’s teeth are growing properly?

All the way in the back of the mouth, behind the last baby tooth, the first molar makes its debut. It does not replace another tooth. Then, the four front teeth appear on the top and bottom (incisors). Between the ages of 10 and 12, the canines and bicuspids erupt. Second molars appear around the age of 13 and wisdom teeth begin coming in at the end of adolescence or in the early 20s.

Can permanent teeth cause problems as they erupt?

Lack of space could lead to overcrowding and malocclusion.

Other problems include:

Growth speed (time required for the tooth to completely erupt)

Tooth shape, size or colour

Too much space between teeth

As each child is different, the sequence and age when teeth erupt varies.

By taking x-rays and performing regular dental check-ups, we can monitor the progression of your child’s permanent teeth. This way, we’ll be able to address any problems early on and keep consequences to a minimum.

Wisdom teeth

Wisdom teeth

Wisdom teeth usually come in when a patient is near the end of adolescence or in their mid-20s. Also called third molars, wisdom teeth are found at the back of the dental arch. Although most people have four of them, having less or none at all is not uncommon.

Do wisdom teeth have to be extracted?

Not everyone needs to have their wisdom teeth removed. In fact, many people keep them all of their life. However, if space is an issue, yours may need to be removed for preventive reasons. If your mouth is too small for your wisdom teeth to come in properly, they could become partially or fully impacted in the jawbone, which would require an intervention.

How do I know if my wisdom teeth are coming in?

There are a many signs to indicate that the third molars are erupting. Pain is a first indicator, and it usually comes and goes over a few days. Another common symptom is bleeding gums near the back of the mouth. Patients may also experience tense jaw muscles, swelling or cysts.

Extracting the wisdom teeth may be needed to relieve the pain and to prevent unpleasant consequences. Since lack of space is often the source of the problem, letting the wisdom teeth come in anyway may lead to dental overlapping and a higher risk of developing carious lesions.

Intra-oral Camera

Intra-oral Camera

Today, technological equipment is wholly integrated into dentistry. For example, the intra-oral camera helps dentists see very small areas that are at a higher risk of becoming problematic.

What is an intra-oral camera?

This non-intrusive, pen-sized tool has a digital camera on one end. On the other end, it’s connected to our computer so that scanned areas can be seen on screen. In this way, the intra-oral camera is also a communication tool that makes it easy for a dentist to point out an issue or explain a procedure.

What does the camera pick up?

One of the biggest benefits of this digital technology is the ability to enlarge and adjust the images, making it easier to detect cavities, cracks, defective restorations and soft tissue problems that would normally be difficult to see with the naked eye. Although it cannot replace an exam or x-rays, the intra-oral camera helps the dentist make a precise diagnosis for an adapted care protocol.

What are the benefits of using an intra-oral camera?

Visual support for a better understanding of your current oral health

Informed decision-making for the treatment plan

Early detection of problems for preventive actions

Precise and reliable digital images

Easier follow-up of oral health issues

Digital archiving and sharing of images

Jaw disorders

Jaw disorders

Bruxism

Commonly referred to as “teeth grinding,” bruxism is the grinding or gritting of teeth caused by involuntary contractions of the jaw. Although it mostly occurs at night, bruxism can also happen during the day and be a recurring problem throughout your life.

What are the consequences of grinding your teeth?

Worn down or cracked teeth

Headaches

Tooth and face pain

Jaw and temporomandibular joint pain upon waking

Loosened gums

What causes bruxism?

As of yet, there is still no international consensus on the subject. But we are getting pretty clear understanding of the various causes of bruxism. For many people, an occlusal imbalance is the main precursor while stress makes it worse. Relaxation exercises and using a bite plate or even occlusal equilibration can minimize the damage bruxism can have on your teeth.

Temporomandibular joints (TMJs)

If you’re feeling discomfort or pain in the joints located on either side of your face, in front of your ears, you may have a temporomandibular joint disorder (TMD). Although the causes vary, bruxism, an injury or a joint-related illness may be at the root of the TMD.

What are the main symptoms of a TMD?

Difficulty opening and closing the mouth

Cracking, clicking or grinding of the jaw

Difficulty chewing

Stiffness in face muscles

Headaches or neck pain

Often is asymptomatic

Shooting pain in front of the ears

A dental check-up can confirm whether or not you’re suffering from a temporomandibular joint disorder. We’ll assess your best treatment options and discuss how you can prevent and minimize TMD symptoms.

Bite plates and occlusal equilibration

Custom-made bite plates are made of acrylic and are worn over the top OR bottom teeth. Mainly recommended for patients suffering from bruxism, the device acts as a cushion. By absorbing the pressure exerted by the teeth, the bite plate helps minimize damage caused by grinding or gritting. Bite plates can also help relax and soothe jaw muscles and TMJs.

The occlusal equilibration is a simple and conservative treatment that can be used alone or with other treatments (orthodontics, restorations, crowns and veneer, orthognathic surgery, etc.). It can help you control your TMD and TMJ pain on a 24 h basis.

Teeth whitening

Teeth whitening

Teeth whitening is a cosmetic procedure. Due to its popularity, a wide range of products are available in drug stores, but nothing beats professional teeth whitening.

Where to start?

First, make an appointment with your dentist for a complete check-up. This will help us determine the cause of your enamel’s discoloration and assess whether a whitening treatment will be successful. We’ll recommend a personalized teeth whitening treatment that will give you the results you’re looking for.

There are three available options:

Whitening of a discolored tooth (internal whitening)

In-clinic whitening

At-home whitening

Which option is best for me?

It all depends on your needs and timeframe. In-clinic whitening will give you quick results. A dentist-supervised at-home whitening treatment is also very effective, but it requires several days of treatment. Although the teeth whitening process is progressive, you’ll see results after the very first application. Talk to your dentist to discuss which option is best for you.

Are results long-lasting?

Yes. Your teeth will stay white for one to two years, depending on your oral hygiene. A follow-up treatment is also needed every 12 to 24 months.

Are you currently doing an at-home teeth whitening treatment? Read our checklist for optimal results.

Incrustation CEREC

Incrustation CEREC

Inlays are used to repair damaged teeth or unsightly or deteriorated fillings. They are used inside molars and bicuspids to avoid having to remove the tooth’s dental pulp.

What are the benefits of using CEREC?

A CEREC inlay is a custom-made ceramic restoration made in the clinic. In only one appointment, your amalgam or composite resin fillings can be replaced with a beautiful inlay that will give your tooth its optimal function.

How are inlays installed?

The tooth is prepped and a digital impression is made

The virtual model is sent to the milling station and the inlay is prepared on site

The restoration is installed and adjusted during the same appointment

With CEREC technology, you can have a permanent, custom-made restoration that looks natural, all in one appointment.

CEREC Crowns

CEREC Crowns

A tooth can sustain different kinds of injuries that may necessitate a dental crown. But thanks to state-of-the-art equipment, this type of restoration can be done in just one appointment.

What is a CEREC crown?

A CEREC crown is a porcelain prosthesis made using computer-aided technology. The main difference between a CEREC crown and a traditional crown is production time. Unlike lab-made restorations, CEREC crowns are made on site. This means that in just one appointment, we can prep the damaged tooth, make the prosthesis and install it.

How is the crown made?

The damaged tooth is prepped

A 3D camera is used to make the impressions

The crown is modelled on the computer

The model is sent to the milling station

The crown is made from a block of pure ceramic

We’ve been proudly offering our patients CEREC technology since 1999, resulting very high quality, beautiful and durable restorations in just one appointment.

Benefits of CEREC technology

Benefits of CEREC technology

For excellent overall health, it’s important to have good oral health. When a tooth is cracked, damaged, fragile or worn out, a ceramic restoration is the preferred option to protect and strengthen the tooth, and to enable it to function properly. Since 1983, CEREC technology has been used to embellish smiles. At Centre Dentaire Ahuntsic, we’ve been using this technology since 1999 for our patients’ well-being. Always at the forefront of technological, state-of-the-art innovations, today we use the CEREC Omnicam, the very latest tool of its kind.

How does CEREC work?

CEREC is a computer-aided ceramic restoration technique. It takes digital impressions of the damaged tooth and creates a digital model that is perfectly adjusted to the patient’s mouth. Before inserting the artificial tooth, we polish and prep it so that it looks natural – just like your real teeth. CEREC produces beautiful results in only one appointment.